The Left Chest Always Hurts And Feels Like It Is Squeezed?

Illustration of The Left Chest Always Hurts And Feels Like It Is Squeezed?
Illustration: The Left Chest Always Hurts And Feels Like It Is Squeezed?

I have checked with a specialist in internal medicine and a specialist in Gasthro and have been on drug therapy for a month but during drug therapy there has been no change at all n nAt first, in mid-September 2017 I was on a strict diet for 3 months just before the bodybuilding competition. nAnd for 3 months before the competition I always eat a lot of pineapple fruit, bitter coffee without sugar, and drink fat burning supplements along with diet foods without salt, oil or flavor and only roast, boil or steam. n nAnd one week before the match suddenly “I felt suffocated and felt deprived of oxygen and worried panic and felt like I was going to die .. nI was then taken to the emergency room because a heart attack was suspected and at that time I performed heart checks such as EKG, Heart Echo, Treadmill, Blood check, Ronxen Heart and lungs and the results are normal nAnd I have done the test almost four times until now n nLeft chest too feels hot and always has pain in the left chest on the left sternum nAnd I have also done ENDOSCOPY on August 9 2018 yesterday n nMy questions; nWhat disease am I suffering from … ?? nWhat is the solution … ??

1 Answer:

Hi Wayan,

Thank you for asking

It needs to be clarified, if the results of your EKG, echocardiography, treadmill, blood tests and X-rays are still within normal limits, then what about the results of your endoscopy? Is that normal too?

Shortness of breath, heat and pain in the left chest, accompanied by excessive anxiety and panic as if wanting to die can occur due to organic or psychological disorders.

One of the organic disorders that may trigger your complaint is GERD (gastroesophageal reflux disease). This condition occurs when acid from the stomach backs up into the esophagus and causes irritation because the ring of smooth muscle that limits the lower esophagus to the stomach (lower esophageal sphincter) is incompetent. As a result of this irritation, there can be quite a lot of discomfort, especially in the chest area, it can also spread to the throat, gut, or back. This discomfort can vary, ranging from shortness of breath, feeling heavy, hot, painful, sore, nauseous, propping up, phlegm, and so on. A person's risk of developing GERD can be increased by obesity, hiatal hernia, pregnancy (in women), connective tissue disorders (eg scleroderma), and slow gastric emptying. Symptoms of GERD are usually triggered by smoking, eating too much, eating too close to bedtime, consuming excessively fatty or fried foods, consuming too much caffeine or alcohol, and taking certain medications, such as aspirin. The diagnosis of GERD is mainly confirmed by endoscopic examination by a specialist in the gastroenterology subdivision. In addition, other tests can also be done, such as esophageal manometry, x-rays with barium pills, and so on.

Meanwhile, psychological disorders that can trigger your complaints, one of which is a panic attack. This condition reflects a sensation of fear or panic with a very great intensity that appears without a clear trigger. Panic attacks can make the sufferer experience uncontrollable anxiety, sweating a lot, trembling, heart palpitations, shortness of breath, nausea, vomiting, chest pain and other limbs, dizziness, headache, numbness, and even feeling like dying. There is no definite cause for this condition. However, genetic factors, stress, disorders of chemical compounds in the brain, experiencing traumatic events, major life changes, smoking, consuming excessive caffeine, or also a history of childhood trauma are strongly suspected to trigger this condition. A diagnosis of panic attack can be made through in-depth psychiatric interviews by a psychiatric specialist (psychiatrist).

In addition to the two conditions above, there are many other possibilities that can trigger your complaints, for example heart attack, gastritis, stomach ulcers, anxiety disorders, post-traumatic stress disorder, psychosomatic disorders, gastroenteritis, food poisoning, and so on.

The solution that you should do at this time is to check back with an internal medicine specialist so that a more in-depth evaluation can be done regarding your complaint. If deemed necessary, the doctor may refer you to a psychiatric specialist for further examination and treatment. Apart from that, you also need to know that apart from consuming drugs, complaints like what you are experiencing must also be addressed with lifestyle changes to be healthier and also balanced. Some of the following suggestions you can apply:

Eat a little, but often Reduce foods that are too acidic, fatty, fried, spicy, gassy Avoid doing a diet that is too extreme Do not consume caffeine, alcohol Stay away from cigarettes Routine exercise 1 to 2 times a week Do not take drugs carelessly Calm your mind, increase relaxation Identify what often makes you panic, deal with that panic wisely. Submit your life and death to God, don't panic too much. Hopefully it helps.

dr. Nadia Nurotul Fuadah

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